Coil Embolization of an Acutely Ruptured Saccular

Acutely ruptured intracerebral berry aneurysms are usually treated by surgical clipping. In some instances, however, an endovascular approach to aneurysm obliteration may be con-sidered. Since the pioneering work of Serbinenko [1] and Shcheglov (paper presented at the annual meeting of the ASNR, March 1989), there has been encouraging progress in the endovascular treatment of intracranial berry aneurysms by detachable balloon occlusion. Indications include aneu-rysms that cannot be surgically clipped, those with high surgical risk, those in inaccessible sites (e.g., cavernous ca-rotid artery), and patients who are poor surgical candidates because of underlying medical conditions [2]. Detachable balloon occlusion is suitable for selected aneurysms but may be ineffective in the acute stages of rupture. There have been few reports of endovascular treatment of acutely rupture